OTalk @otalk_One of the most important rules of #OTalk is Remember the hashtag so we can all see your tweets in the conversation.
If you forget the hashtag, or if your account is protected, your tweets wont show up in the chat/transcript. So remember to check. #OTalkhttps://t.co/NZFarkPwE7

Holleigh Bryan @holleighlouise@bowker_helen@Jeni_woods_OT During one of my uni projects, we discussed how frailty related to psychological conditions as well as physical. This is an interesting perspective, that we often do not hear about #OTALK

Louise @louisepenny87@Jeni_woods_OT@bowker_helen No, not all older people are frail and not all frail people are old. I work in stroke, and the amount of times we say “they are an old 60”, or “they are a young 85 year old”. That’s about frailty #OTalk

Helen Bowker @bowker_helenOK, we are lumping question 2 & 3 together to try and get them all in.
2. What assessments do you use for identifying frailty?
3. What outcome do you use for older patients whoa re frail. @jeni_woods_OT#OTalk

Bethany Marshall @bethjmot@bowker_helen@Jeni_woods_OT Individuals who are more vulnerable. The word frailty to me could link to any age service user, however most people would link this automatically to elderly service users #OTalk

Jeni Woods @jeni_woods_ot@latherunique@bowker_helen British Geriatric Society (2015) define it as a distinctive health state related to the ageing process in which multiple body systems gradually lose their in-built reserves. This can have such an impact on an individual's function. As you say... this is not age related. #OTalk

Yee Wan Tham @yee_wan_tham#OTalk In my opinion, frailty means a person is at a higher risk of developing a poorer health including their mobility and independence in participating in meaningful occupations and feeling physically lower in energy. I think it can occur to all ages, not only older people :)

Bill Wong, OTD, OTR/L @billwongotRT @Yee_Wan_Tham: #OTalk In my opinion, frailty means a person is at a higher risk of developing a poorer health including their mobility a…

Philip Mason @pjmasonot@bowker_helen@Jeni_woods_OT I have worked in a frailty service and the day to day battle I had was “Is identifying frailty a priority or is the main concern Occupational performance” which frailty will very likely impact upon? #OTalk

Bill Wong, OTD, OTR/L @billwongot@bowker_helen@Jeni_woods_OT I feel that whatever assessments our departments end up using, we need to have guidelines on what is a sensible score given patient’s current level of function. #otalk

Bethany Marshall @bethjmot@bowker_helen@Jeni_woods_OT If I'm honest I don't have too much knowledge about these assessments regarding frailty. But finding it really interesting to read other people's comments& will definitely explore these #OTalk

Ruth Ndlovu @ot_ruth@bowker_helen@Jeni_woods_OT I think sometimes what works best is having a structured proforma which OTs or the therapy team can use as a guide to identify frailty in the initial stages of ax #OTalk

Bill Wong, OTD, OTR/L @billwongot@latherunique@bowker_helen@OT_Ruth@Jeni_woods_OT One of my high school teachers passed away last month. He had seemingly OK stage 1 colon cancer. But then complications opened like floodgates. He had 2 surgeries and needed a 3rd one. His body couldn’t tolerate. So he chose to end his life on own terms. 🙁 #otalk

Claudia Salmon @yumteayum@BillWongOT@bowker_helen@Jeni_woods_OT The TUG often supports part of our Elderly Mobility Score and Fried frailty phenotype model which can therefore give us further guidance of their frailty and falls risk. It also encouraged mobilisation. #OTalk

Rose Huxley @rosehuxotLurking again on this evenings #otalk - my next placement is in this area & we’ve just finished a module on OT models so really interesting reading everyones answers 🙃🤓 #otstudent

Susan Windeatt @mooartdotcom#OTalk I think OTs are well placed to concentrate on meaningful activity completion for patients (on their own terms) rather than focusing on clinical outcomes beyond their control? https://t.co/LC4bunaAfI

Philip Mason @pjmasonot@bowker_helen@Jeni_woods_OT Helping people to live well, and to prioritise Occupational range. So many people I meet in hospital setting and when they talk about slim-lining their daily routines because of health issues, the first things they give up are the things that mean the most to them #OTalk

Jeni Woods @jeni_woods_ot@pjmasonOT@bowker_helen Indeed it is often the leisure activities that a person sacrifices. I often feel that acute physical settings focus on self care and neglect meaningful leisure activities. #OTalk

Anthea Cree @antheasaif@Jeni_woods_OT@suzannahepp@bowker_helen#OTalk I think the worry is that if someone is labelled as 'frail' they'll be denied treatment but identifying vulnerabilities mean that we can support people better - I think I spend a lot more time thinking about this than most oncologists though

Alex Bann @alexbann1@bowker_helen@Jeni_woods_OT I find that our patients seen by OT's benefit from the holistic approach offered, they consider medical, functional, social and psychological aspects of care and patients with cancer and frailty are rarely only requiring support in just one area. #OTalk

Ruth Ndlovu @ot_ruth@bowker_helen@Jeni_woods_OT If it’s a social admission due to frailty, charities like @ageuklondon offer great services and also setting the pt up with POC if required. For cancer pt’s, McMillan offers great services not only for pts but their careers as well #OTalk

Claudia Salmon @yumteayum@bowker_helen@Jeni_woods_OT maximising their current abilities and achieving goals they still want to achieve in the time they have. Giving them and family members guidance and support in their preferred place of care #OTalk

latísh @ljx_01@bowker_helen@Jeni_woods_OT I like to use a mixture to see what best suits the SU. Usually I am guided by CMOP-E (personal preference) and will use Kawa at a later time for SU to identify their own barriers (if appropriate) #OTalk

Kim Willis @kimwillisot@bowker_helen@Jeni_woods_OT I work in a small team with DN, physio and OT with access to social work and consultant geriatric support. Our different core skills come together to provide a thorough assessment #OTalk

Bethany Marshall @bethjmot@bowker_helen@Jeni_woods_OT Education on Energy conservation. Finding out what means the most to the service user by being client centred. Also, supporting the family is very important #OTalk

OTalk @otalk_Just a heads up:
If your twitter account is protected (has the little black padlock next to your name) others will not see your contributions if they don’t follow you.
This also means that your tweets won’t show up in the #OTalk transcript.

Philip Mason @pjmasonot@bowker_helen@Jeni_woods_OT Helping people to die well too - planning and preparing for end of life is also something I have been involved in with patients and perhaps some of the most meaningful work that I have done #OTalk

Bill Wong, OTD, OTR/L @billwongotAnd on this conversation- it also brought me back memories of the last days of Terry Olivas De La O. I am sure some of you might have remembered her. It’s almost 4 years since she passed away. #OTALK

SuzHepp @suzannahepp@bowker_helen@Jeni_woods_OT Adaptations and equipment have a part in helping a person and their families to overcome environmental barriers. Quality of life and spending time doing what they enjoy is paramount #otalk

Rachel Gilmore @rachelgilmore70@bowker_helen@Jeni_woods_OT I work on a falls response car with a paramedic. It's a great way of working with everyone in the community from the person, family, voluntary agencies and other health professionals to promote independent living #otalk

Claudia Salmon @yumteayum@bowker_helen@Jeni_woods_OT One of our Geriatricians requests an MDT team meeting with patient and family. this usually works a treat because we can all give our thoughts which are open and transparent. The patient is able to make their own choices and have a "full MOT". #OTalk

Rachel Gilmore @rachelgilmore70@bowker_helen@Jeni_woods_OT I've been on the car only one month however it's been running 2 years. It's been very successful in supporting people who have fallen to remain in their own home with additional support if required. If you want anymore info feel free to email me Rachel.gilmore@elht.nhs.uk #otalk

Louise @louisepenny87@AlexBann1@bowker_helen@Jeni_woods_OT So important being in A&E - so often hospitals make frail people even frailer. The NHS needs to be less risk averse and more supportive in keeping people at home (which includes not keeping people in hospital for a load of investigations) #OTalk

Bethany Marshall @bethjmotThanks for hosting @bowker_helen & @Jeni_woods_OT 👏🏼👏🏼 Another field of OT I would love to explore further, and I'd like to be able to have a placement in this area, fingers crossed🤞🏼 #OTalk

Bethany Marshall @bethjmotThanks for hosting @bowker_helen & @Jeni_woods_OT 👏🏼👏🏼 Another field of OT I would love to explore further, and I'd like to be able to have a placement in this area, fingers crossed🤞🏼 #OTalk

Claudia Salmon @yumteayum@Jeni_woods_OT@bowker_helen So normally the nurse, Physio and OT screen patients in ED department, Rapid Assessment Triage, Medical day unit. they come to our unit. then we do our comprehensive assessment which includes the geriatric assessment for everyone's who comes to our unit #OTalk

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